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目的对老年脑梗死后痴呆的相关因素进行探讨。方法选取老年脑梗死患者143例,记录患者性别、年龄、受教育的程度,吸烟,饮酒情况及是否有高血压,冠心病,高脂血症,糖尿病,卒中病史,通过CT明确其病灶部位,病灶多少及大小,并对痴呆组和非痴呆组患者资料进行分析,探讨脑梗死后痴呆发生与以上各因素的关系。结论 33例确诊为VD,VD发生率为23.1%,VD组多见于高血压、糖尿病、多灶、双侧和大面积脑梗死及伴脑萎缩性脑梗死。结论脑梗死后痴呆的发生率高,高血压、糖尿病、多灶、双侧和大面积脑梗死、脑萎缩与VD有关,可能是梗死后痴呆的独立危险因素。
Objective To explore the related factors of senile dementia after cerebral infarction. Methods A total of 143 elderly patients with cerebral infarction were enrolled in this study. The patients’ gender, age, educational level, smoking and drinking status and their history of hypertension, coronary heart disease, hyperlipidemia, diabetes mellitus and stroke were recorded. The number and size of lesions, and dementia patients and non-dementia patients to analyze the data to explore the incidence of dementia after cerebral infarction with the above factors. Conclusions 33 cases were diagnosed as VD, the incidence of VD was 23.1%. VD was more common in hypertension, diabetes, multifocal, bilateral and large-area cerebral infarction with brain atrophic cerebral infarction. Conclusion The incidence of dementia after cerebral infarction is high, hypertension, diabetes mellitus, multifocal, bilateral and large cerebral infarction, cerebral atrophy and VD may be independent risk factors for post-infarction dementia.